Document Detail

Occult fractures of the knee: tomographic evaluation.
MedLine Citation:
PMID:  6867329     Owner:  NLM     Status:  MEDLINE    
Seven adults with painful effusions of the knee were examined for occult fractures using pluridirectional tomography in the coronal and lateral planes. Six patients (ages 50-82 years) were osteopenic and gave histories ranging from none to mild trauma; one 26-year-old man was not osteopenic and had severe trauma. In all cases, routine radiographs were interpreted as negative, but tomography demonstrated a fracture. Five fractures were subchondral. Bone scans in 2 patients were positive. The authors conclude that osteopenic patients with a painful effusion of the knee should be considered to have an occult fracture. While bone scans may be helpful, tomography is recommended as the procedure of choice to define the location and extent of the fracture.
J S Apple; S Martinez; N B Allen; D S Caldwell; J R Rice
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  148     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-08-11     Completed Date:  1983-08-11     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  383-7     Citation Subset:  AIM; IM    
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MeSH Terms
Fractures, Bone / etiology,  radiography*
Knee Injuries / etiology,  radiography*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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